Jessica Jill Waterbury, DDS
NPI 1407263247ActiveIndividual· Dentist· Rochester, MN
Opted out of Medicare from November 2021 to November 2027. Dentist (DDS) in Rochester, Minnesota, licensed in MN, with an NPI issued in July 2014. Part D covered 18 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc reported $17.22 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1407263247 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 14, 2014 |
| Last updated in NPPES | Mar 2, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D13437 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Nov 9, 2021 – Nov 9, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 18 30-day fills |
|---|---|
| Total drug cost | $96.71 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$17.22 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $17.22 | 1 |
What the 2025 payments were for
- Food and Beverage$17.22 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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